{
  "resourceType": "StructureDefinition",
  "id": "NICE-Medication",
  "meta": {
    "lastUpdated": "2022-09-01T07:48:30.3787959+00:00"
  },
  "url": "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Medication-2022Q1",
  "version": "0.0.1",
  "name": "NICE-Medication",
  "title": "NICE-Medication",
  "status": "active",
  "date": "2021-11-30T15:53:41.0098926+00:00",
  "publisher": "NICE",
  "contact": [
    {
      "name": "NICE",
      "telecom": [
        {
          "system": "email",
          "value": "vragen@stichting-nice.nl"
        }
      ]
    }
  ],
  "description": "This profile is for submitting data to the NICE about the administration of medication to the patient.",
  "purpose": "This profile is used to submit medication related information to the Dutch National Intensive Care Evaluation (NICE). It was derived from the Nictiz Health and Care Information Model (HCIM; Dutch: Zorginformatiebouwsteen or ZIB) Medication, 2017 release version 3.1",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "NICE-Datadictionary-MDS",
      "uri": "https://www.stichting-nice.nl/dd/#528",
      "name": "NICE-Datadictionary-MDS",
      "comment": "The Minimal Data Set (MDS)"
    },
    {
      "identity": "NICE-Datadictionary-SOFA",
      "uri": "https://www.stichting-nice.nl/dd/#547",
      "name": "NICE-Datadictionary-SOFA",
      "comment": "The Sequential Organ Failure Assessment (SOFA) module"
    },
    {
      "identity": "NICE-Datadictionary-Capacity",
      "uri": "https://www.stichting-nice.nl/dd/#561",
      "name": "NICE-Datadictionary-Capacity",
      "comment": "The Patient Acuity Registration"
    },
    {
      "identity": "NICE-Datadictionary-Sepsis",
      "uri": "https://www.stichting-nice.nl/dd/#646",
      "name": "NICE-Datadictionary-Sepsis",
      "comment": "The Sepsis Registration Module"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Medication",
  "baseDefinition": "http://nictiz.nl/fhir/StructureDefinition/zib-Product",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Medication.code",
        "path": "Medication.code",
        "definition": "A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.\r\n\r\nOnly a few medication related codes are relevant for NICE, only codes pertaining to the ATC groups listed below will be processed [NICE dataelement : ATC-codes or ATC-(sub)group codes]:\r\n- Chronic Obstructive Pulmonary Disease: R03 subgroup (Drugs for obstructive airway diseases)\r\n- Diabetes: A10 subgroup (Dugs used in diabetes)\r\n- Immunological insufficiency: L04 subgroup (Immunosuppressants) or H02 subgroup (Corticosteroid for systemic use) or L01 subgroup (Antineoplastic agents)\r\n- Thrombolytic therapy following acute myocardial infarction: B01 subgroup (Antithrombotic agents)\r\n- Vasoactive medication: C01CA/CE subgroup (adrenergic and dopaminergic agents) or H01BA subgroup (Vasopressin and analogues) \r\n- Dobutamine administration: C01CA07\r\n- Highest adrenaline speed: B02BC09\r\n- Highest dopamine speed: C01CA04\r\n- Highest noradrenaline speed: C01CA24\r\n- Administration of phospodiesterase inhibitors: C01CE (Phospodiesterase inhibitors)\r\n- Continuous intravenous administration of antiarrythmics: C01B (Antiarrhythmics)\r\n- Administration of arterial medication: All (non-specified)\r\n- Nutrition - parenteral: B05BA (Solutions for parenteral nutrition)\r\n- Anticoagulation: B01 (Antithrombotic agents)\r\n- Antibiotics (IV): J01 (Antibacterials)",
        "mapping": [
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#57",
            "comment": "Chronic Obstructive Pulmonary Disease"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#78",
            "comment": "Diabetes"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#159",
            "comment": "Immunological insuffiency"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#411",
            "comment": "Thrombolytic therapy following acute myocardial infarction"
          },
          {
            "identity": "NICE-Datadictionary-MDS",
            "map": "https://www.stichting-nice.nl/dd/#432",
            "comment": "Vasoactive medication"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#18",
            "comment": "Highest adrenaline speed"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#93",
            "comment": "Dobutamine administration"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#94",
            "comment": "Highest dopamine speed"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#224",
            "comment": "Highest noradrenaline speed"
          },
          {
            "identity": "NICE-Datadictionary-SOFA",
            "map": "https://www.stichting-nice.nl/dd/#238",
            "comment": "Administration of phospodiesterase inhibitors"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#740",
            "comment": "Highest dopamine speed (Sepsis)"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#742",
            "comment": "Dobutamine administration (Sepsis)"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#743",
            "comment": "Administration of phospodiesterase inhibitors"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#744",
            "comment": "Highest adrenaline speed (Sepsis)"
          },
          {
            "identity": "NICE-Datadictionary-Sepsis",
            "map": "https://www.stichting-nice.nl/dd/#745",
            "comment": "Highest noradrenaline speed (Sepsis)"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#572",
            "comment": "Continuous intravenous administration of antiarrythmics"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#576",
            "comment": "Administration of arterial medication"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#599",
            "comment": "Anticoagulation"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#611",
            "comment": "Nutrition - parenteral"
          },
          {
            "identity": "NICE-Datadictionary-Capacity",
            "map": "https://www.stichting-nice.nl/dd/#625",
            "comment": "Antibiotics (IV)"
          }
        ]
      },
      {
        "id": "Medication.code.coding:productCodeATCCodelijst",
        "path": "Medication.code.coding",
        "sliceName": "productCodeATCCodelijst",
        "min": 1,
        "mustSupport": true
      }
    ]
  }
}